[Suture of trocar puncture sites after laparoscopy].
The suturing of port sites measuring at least 10 mm in diameter following laparoscopy can prevent the incarceration of small bowel and/or omentum and scar hernias. This means that all port sites remaining after using trocars of at least 10 mm need to be carefully closed by suturing. In the case of oncological procedures in particular, it is important to ensure that the bite of the suture needle includes the peritoneum, to avoid leaving a fresh peritoneal wound offering favourable conditions for the implantation of tumour cells. The technique described here for port site suturing involves all the layers of the abdominal wall, including the peritoneum, and may thus help to prevent port site metastases.
Köckerling
F
F
Chirurgische Klinik mit Poliklinik, Universität Erlangen-Nürnberg.
Schneider
C
C
Reymond
M A
MA
Hohenberger
W
W
D000009:Abdominal Muscles / Q000601:surgery; D000008:Abdominal Neoplasms / Q000601:surgery; D006801:Humans; D020706:Laparoscopes; D009366:Neoplasm Seeding; D010537:Peritoneum / Q000601:surgery; D013536:Suture Techniques
Verschluss der Trokareinstichstellen nach Laparoskopie.